高血压病的汉方证治探讨

Discussion on Treatment of Hypertension in Kampo Medicine

日本汉方在高血压病防治中积累了丰富的临床经验。汉方医认为,火毒内蕴、痰饮内停、瘀血内阻、脏腑亏损这四大证候在高血压病发生发展的不同阶段存在不同侧重,并且互相交错,互相影响。针对高血压病的不同阶段、不同病情,有一系列对病及对证治疗的汉方,如大柴胡汤、三黄泻心汤、黄连解毒汤、温清饮、钩藤饮、半夏白术天麻汤、桂枝茯苓丸、抑肝散、七物降下汤等。认为汉方辨治高血压病的特色在于辨体质、辨方证、重视腹诊。

Kampo medicine have abundant experiences in the prevention and treatment of hypertension. Kampo medicine considers that the four syndromes such as internal fire-toxin syndrome; phlegm-fluid retention syndrome,stagnation of blood stasis syndrome and deficiency of viscera syndrome,were the key pathogenesis in the different stages of hypertension. Aimed at the different stages of hypertension,fhe following decoctions were commonly used by Kampo medicine such as “ Dacaihu Decoction”,“ Sanhuang Xiexin Decoction”,“Huanglian Jiedu Decoction” , “ Wenqing Yin”,“ Gouteng Yin”,“Banxia Baizhu Tianma Decoction”,“ Guizhi Fuling Pill”,“ Yigan Granule”,“ Qiwu Jiangxia Decoction”,et al. The characteristics of syndrome differentiation and treatment of hypertension in Kampo medicine include constitution differentiation, formula- syndrome correspondence, and abdomen examination.